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Disseminated Mycobacterium abscessus Infection in a Patient with Hairy Cell Leukemia

Fleisher, Jorge MD*†; Treadwell, Thomas L. MD†‡; Garcial, Gamaliel MD†

Infectious Diseases in Clinical Practice:
doi: 10.1097/01.idc.0000205841.59527.0f
Case Reports
Abstract

Abstract: We present the case of a 44-year-old woman admitted to our institution with fever, constitutional symptoms, pancytopenia, and splenomegaly. A bone marrow was diagnostic of hairy cell leukemia. The patient was also found to be bacteremic with Mycobacterium abscessus, a highly unusual pathogen in this setting. She responded initially to 4-drug therapy and subsequently was discharge on monotherapy. A review of the case and literature is presented.

Author Information

*Boston University, Boston; †HIV Clinic, MetroWest Medical Center, Framingham, and ‡University of Massachusetts Medical School, Worcester, MA.

Address correspondence and reprint requests to Jorge Fleisher, MD, MetroWest Medical Center, 115 Lincoln Street, Framingham, MA 01701. E-mail: fleisherj@aol.com.

© 2006 Lippincott Williams & Wilkins, Inc.